Pearly papules

I have read, with interest, some of comments on this topic.  I also have these around my glans (glands) penis and they have become extremely sensitive over the years.  It has almost the same feeling as "nettle rash" and the extreme sensitivity makes me contract when touched, therefore assisting with early ejaculation (VERY early!).  You have mentioned (I believe) that they shouldn't be removed but, by doing so, couldn't my sensitivity be reduced?  And if they can be removed, by which process (by the way living in South Africa).
Thanks very much and keep up the great work - very interesting site!!

[Alan Rockoff, MD]

Dave:

You my indeed have both paearly papules and early ejaculation, but the two are not related.  As the premature ejaculation is obviously a problem, you ought to look into this; perhaps there is a clinic somewhere accessible which deals with matters of sexual dysfunction.  But you are not likely to benefit from any form of surgery to remove the papules, and I urge you not to seek  out any such procedure.

Good luck.

Dr. R